Anxiety and the Not-Knowing Stance: Lessons from Winnicott

Faced with overwhelming anxiety— both internal and external— people cling to certainty as a form of protection. But ironically this certainty only serves to make us more disconnected from each other. We miss the opportunity to grow and change by moving through misunderstanding to understanding.

Listening for Ghosts and Angels in the Nursery

In my clinical experience I have found that far and away the most powerful agent of change is the process of grieving loss. When I open myself up to what I call “playing in the uncertainty” allowing the visit to unfold without setting an agenda, I’m consistently surprised and amazed that the process takes parents through feelings of profound sadness to powerful moments of connection with me, with their child, and with themselves.

Listening for Loss: My Father’s Holocaust Story

Last week my husband Joe, our two dogs, and I shared a celebratory dinner with my parents on the occasion of my father’s 98th birthday. After a festive evening filled with hope against the backdrop of a darkening second winter of Covid, Joe suggested on the car ride home that I write about it. As readers of my blog know, I am immersed in work on a new book about listening for loss. I should practice what I preach.

The Forgotten Appointment: Mismatch-Repair and Therapeutic Change

Now over a decade since my therapy ended, I understand that its enduring impact on my emotional wellbeing lies not primarily in the story I told in words but in the countless moments of moving from misunderstanding to understanding strung together over time. The microscopic mismatches in interactions contained in the office space, the larger disruptions of days between appointments and vacations, as well as some massive ruptures, including the forgotten appointment, all contributed to the process. They changed the nature of my sense of self and my relationships with people close to me.

How Psychotherapy Works: Learning from Infants

Repair Theory has significant implications for treatment of emotional suffering. It offers a model of mental health that differs dramatically from the medical model of mental illness. Rather than being fixed, our emotional wellbeing evolves in a continuous process over time. Early interactions lacking in robust repair create meanings of hopelessness that lead to emotional suffering and derailed development. New sets of relationships with different quality of interactions can promote healing and growth across the lifespan.